A bill to amend title XVIII of the Social Security Act to provide an option for first responders age 50 to 64 who are separated from service due to retirement or disability to buy into Medicare.

Bill ID: 119/s/3221
Last Updated: November 19, 2025

Sponsored by

Sen. Gallego, Ruben [D-AZ]

ID: G000574

Follow the money

The bill

A bill to amend title XVIII of the Social Security Act to provide an option for first responders age 50 to 64 who are separated from service due to retirement or disability to buy into Medicare.

S. 3221, 119th Congress β€” read as touching Hospitals & Health Systems.

The sponsor

Sen. Gallego, Ruben [D-AZ]

Every bill has someone who introduced it. That name is where the paper trail starts.

The money

$98,700 raised

30 itemised contributions to this sponsor, pulled from FEC filings.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

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Introduced

πŸ“ Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

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Committee Review

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Floor Action

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Passed Senate

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House Review

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Passed Congress

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Presidential Action

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Became Law

πŸ“š How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

No summary available

πŸ’° Campaign Finance Network

Sen. Gallego, Ruben [D-AZ]

Congress 119 β€’ 2024 Election Cycle

Total Contributions
$98,700
18 donors
PACs
$0
Organizations
$98,700
Committees
$0
Individuals
$0

No PAC contributions found

1
SAN MANUEL BAND OF MISSION INDIANS
2 transactions
$6,600
2
SUQUAMISH INDIAN TRIBE
2 transactions
$6,600
3
TOHONO O'ODHAM NATION
2 transactions
$6,600
4
AGUA CALIENTE BAND OF CAHUILLA INDIANS
2 transactions
$6,600
5
NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
2 transactions
$6,600
6
POARCH BAND OF CREEK INDIANS
2 transactions
$6,600
7
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
2 transactions
$6,600
8
SANTA ROSA RANCHERIA
2 transactions
$6,600
9
THE CHICKASAW NATION
2 transactions
$6,600
10
MUCKLESHOOT INDIAN TRIBE
2 transactions
$6,600
11
FEDERATED INDIANS OF GRATON RANCHERIA
2 transactions
$6,600
12
PUYALLUP TRIBE OF INDIANS
2 transactions
$6,600
13
NISQUALLY INDIAN TRIBE
1 transaction
$3,300
14
SNOQUALMIE TRIBE
1 transaction
$3,300
15
VIEJAS BAND OF KUMEYAAY INDIANS
1 transaction
$3,300
16
AK-CHIN INDIAN COMMUNITY
1 transaction
$3,300
17
GILA RIVER INDIAN COMMUNITY
1 transaction
$3,300
18
SAN CARLOS APACHE TRIBE
1 transaction
$3,000

No committee contributions found

No individual contributions found

Donor Network - Sen. Gallego, Ruben [D-AZ]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 61 nodes and 30 connections (86 secondary connections hidden)

Total contributions: $98,700

Top Donors - Sen. Gallego, Ruben [D-AZ]

Showing top 18 donors by contribution amount

18 Orgs

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 helped, 1 harmed.

  • Section 2(c) establishes a premium for the Medicare buy-in option, and Section 2(d) directs premium payments to the Federal Hospital Insurance Trust Fund and Federal Supplementary Medical Insurance Trust Fund, which fund hospital and medical services, thereby increasing revenue for hospitals and health systems.

  • βˆ’Health Insuranceconfidence 0.85

    Section 2(f)(2)(B) states that coverage under this section shall not be treated as eligibility for other minimum essential coverage for purposes of the premium tax credit subsidy (section 36B), which could reduce demand for private health insurance plans among eligible first responders.

  • +Medical Devicesconfidence 0.70

    By expanding Medicare eligibility to first responders aged 50-64, the bill increases the number of individuals with Medicare coverage, which could increase utilization of medical devices covered under Medicare Part B, benefiting manufacturers.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Sen. Gallego, Ruben [D-AZ])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent β€” they are a record of who funds the people writing the law.

Industries this bill HELPS

  • from 514 contributions
    • LORANS, ROXANNE$9,200
    • ROBINSON, JACLYN$4,525
    • FINE, PETER$3,300
    • SPOTKOV, JARED$2,492
    • KHAN, MOHAMED$2,333
  • from 95 contributions
    • STRYKER, PAT$6,600
    • DANESH, KEVIN$3,000
    • LAUTH, JENNY$1,500
    • BECKER, TOM$1,000
    • LUPTOVIC, SUE$550

Industries this bill HARMS

  • from 334 contributions
    • OSBORNE, KEITH$1,900
    • JOHNSON, CRAIG$1,100
    • KEHALY, PAM$1,000
    • GRAHAM, SCOTT$750
    • LOPEZ, SUSAN$682

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